| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.04 | $174.04 | $174.04 | |
BCBS
| Facility | $966.35 | $966.35 | $966.35 | |
Cigna
| Professional | $186.66 | $234.54 | $558.54 | |
MVP Health Care
| Professional | $186.66 | $234.54 | $558.54 | |
United
| Professional | $164.35 | $256.05 | $594.14 |